2023 Volume 39 Issue 1 Pages 43-49
Abstract Objective : In dental schools throughout Japan, general anesthesia practice is mostly conducted by observation in hospitals ; students do not actually perform general anesthesia. Therefore, with the aim of improving their understanding of general anesthesia, we conducted the first training on inducing general anesthesia for fourth-year students before their hospital training.
Method : The 109 students in the fourth year were divided into groups of four, with one instructor in charge of two groups. After a 40-minute lecture, the rapid induction procedure was practiced for one hour on a mannequin used in BLS, using the equipment used in clinical practice, in the following order : (1) placement of a monitor, (2) intravenous catheterization, (3) starting oxygen administration, (4) administration of intravenous anesthetic, (5) mask ventilation, (6) administration of muscle relaxants, and (7) oral intubation. Tests were conducted before and after the training, and a questionnaire survey was administered to the students and instructors after the training.
Results and Discussion : The questionnaire collection rate was 100% for both students and instructors. The percentage of correct answers to the test increased significantly from 39.4% before the training to 63.3% after the training.
All students responded that they were able to understand the rapid induction procedure and that it was good that this training was conducted before their hospital training. It is thought that students’ understanding was enhanced by the fact that (1) the equipment and materials used in clinical practice were used in this practical training, (2) the training was conducted in small groups, and (3) the objective was to understand the procedure of inducing anesthesia, rather than manipulation techniques.
Conclusion : It was considered meaningful for students to receive training on inducing general anesthesia prior to hospital practice, because it increased their understanding of general anesthesia procedures.
